Puerto Rico ›San German

Hospital de la Concepcion INC

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Carr 2 Km 173 4 Bo Cain Alto, San German, PR 00683 (opens Google Maps) · San German County · (787) 892-1860· 30 certified beds · avg 46 residents/day · certified since Oct 24, 2024 · Medicare only — not Medicaid certified

Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →

2/5
Health inspection rating (on-site)
inspected Mar 5, 2026
0
Serious findings on record
$0
Fines, last 3 years
3.25
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Inspection findings in the public record

Showing the latest 3 of 51 inspection findings. Open the full record below to read every finding.

  1. F · Potential for more than minimal harm, widespread

    The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. F-0725

  2. F · Potential for more than minimal harm, widespread

    The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. F-0726

  3. E · Potential for more than minimal harm, pattern

    The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. F-0582

View all 51 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Mar 5, 2026F · Potential for more than minimal harm, widespreadThe facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725
Mar 5, 2026F · Potential for more than minimal harm, widespreadThe facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726
Mar 5, 2026E · Potential for more than minimal harm, patternThe facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582
Mar 5, 2026E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Mar 5, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · F-0551
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor a resident's right to choose their own attending doctor. Residents get to decide which physician oversees their care. · F-0555
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · F-0559
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not protect residents' right to refuse certain moves within the nursing home that they did not ask for, such as being switched between units. Residents have a say in where they live inside the facility. · F-0560
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not allow people with a legal right to see a resident — such as family, doctors, or ombudsmen — to have immediate access to that resident. · F-0562
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor residents' right to receive the visitors they choose, at the times they choose. · F-0563
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not inform residents of their visitation rights or did not treat all visitors equally. Residents have the right to receive the visitors they choose. · F-0564
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not follow the rules about resident work. Residents must never be forced to work for the nursing home, but those who want to work must be allowed to. · F-0566
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor residents' right to manage their own money and financial affairs. · F-0567
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · F-0568
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · F-0569
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not properly protect the personal money residents deposited with it for safekeeping. · F-0570
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility charged residents' personal funds for items or services that Medicare or Medicaid already pays for. Facilities may not bill residents for covered items. · F-0571
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not let a resident or their legal representative see or buy copies of the resident's own records. · F-0573
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · F-0574
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. · F-0575
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · F-0576
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not give residents information about how to apply for and use Medicare and Medicaid benefits. · F-0579
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not keep residents' personal and medical information private and confidential. · F-0583
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility prohibited or discouraged residents from communicating with federal, state, or local officials. · F-0586
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Sep 12, 2024F · Potential for more than minimal harm, widespreadThe facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · F-0949
Sep 12, 2024E · Potential for more than minimal harm, patternThe facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636
Sep 12, 2024E · Potential for more than minimal harm, patternThe facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656
Sep 12, 2024D · Potential for more than minimal harm, isolatedThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Sep 12, 2024D · Potential for more than minimal harm, isolatedThe facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804
Sep 12, 2024C · Potential for minimal harm, widespreadThe facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732
Sep 12, 2024C · Potential for minimal harm, widespreadThe facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806
Sep 12, 2024C · Potential for minimal harm, widespreadThe facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (46 → 5).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2024
All citations: 46
Serious citations (G–L): 0
2026
All citations: 5
Serious citations (G–L): 0

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2024460F
202650F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityPuerto Rico averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.25
Puerto Rico average: 4.07
U.S. average: 3.95
Registered Nurse hours
This facility: 3.25
Puerto Rico average: 3.22
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.66
Puerto Rico average: 3.24
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityPuerto Rico avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)3.254.073.95bottom 13% in Puerto Rico; bottom 24% in the U.S.
Registered Nurse hours3.253.220.69bottom 38% in Puerto Rico; top 1% in the U.S.
Weekend total nurse staffing2.663.243.50bottom 13% in Puerto Rico; bottom 15% in the U.S.
Weekend RN hours (not acuity-adjusted)2.662.290.48bottom 38% in Puerto Rico; top 1% in the U.S.
Total nursing staff turnover (%)—35.745.8—
RN turnover (%)—35.842.9—

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 3.24, weekend 2.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Hospital de la Concepcion INC. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

Non profit - Corporation

Owner / managerTypeRoleStakeSince
Hospital de la Concepcion INCOrganization5% or Greater Direct Ownership Interest100%12/05/2023
Calderon, LizmariIndividualW-2 Managing EmployeeNOT APPLICABLE12/05/2023
Calderon, LizmariIndividualCorporate DirectorNOT APPLICABLE12/05/2023
Calderon, LizmariIndividualOperational/Managerial ControlNOT APPLICABLE12/05/2023
Calderon, LizmariIndividualADP of the SNFNOT APPLICABLE01/17/2025
Cardona Rodriguez, VanessaIndividualW-2 Managing EmployeeNOT APPLICABLE12/05/2023
Cardona Rodriguez, VanessaIndividualCorporate OfficerNOT APPLICABLE12/05/2023
Cardona Rodriguez, VanessaIndividualOperational/Managerial ControlNOT APPLICABLE12/05/2023
Cardona Rodriguez, VanessaIndividualADP of the SNFNOT APPLICABLE01/17/2025
Ferrer, MarieIndividualW-2 Managing EmployeeNOT APPLICABLE12/05/2023
Ferrer, MarieIndividualCorporate DirectorNOT APPLICABLE12/05/2023
Ferrer, MarieIndividualOperational/Managerial ControlNOT APPLICABLE01/17/2025
Ferrer, MarieIndividualADP of the SNFNOT APPLICABLE01/17/2025
Hospital de la Concepcion INCOrganizationOperational/Managerial ControlNOT APPLICABLE01/17/2025
Hospital de la Concepcion INCOrganizationADP of the SNFNOT APPLICABLE01/17/2025
Quinones Bodega, CarlosIndividualCorporate DirectorNOT APPLICABLE12/05/2023
Quinones Bodega, CarlosIndividualOperational/Managerial ControlNOT APPLICABLE01/17/2025
Quinones Bodega, CarlosIndividualADP of the SNFNOT APPLICABLE01/17/2025

All 18 owning or managing parties CMS has on file are shown — none excluded.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "What is your nurse and aide staffing ratio on each shift, including nights and weekends?"
  • "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
  • "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
  • "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
  • "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
  • "How do you involve a resident's representative in care decisions, and how quickly are they consulted?"
  • "How do you explain health changes and treatment options to residents and their families?"

Also worth asking anywhere

  • "Your weekend nurse staffing is reported below the Puerto Rico midpoint — how does the weekend schedule differ from a weekday?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "The ownership record on file lists 18 owning or managing parties — who makes the decisions about staffing levels?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (within 20 miles)

Facility data as of CMS processing date 2026-08-01. CCN 405032.

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